Current through Bulletin 2024-06, March 15, 2024
(1) Type I
and type II assisted living licensees may offer adult day care services and are
not required to obtain a separate license from Utah Department of Health and
Human Services. If the licensee provides adult day care services, they shall
submit policies and procedures for department approval.
(2) The licensee shall ensure that a
qualified director is designated by the governing board to be responsible for
the day-to-day program operation.
(3) The licensee shall ensure that the
director has written records on-site for each resident and staff person, to
include the following:
(a) demographic
information;
(b) an emergency
contact with name, address, and telephone number;
(c) resident health records, including the
following:
(i) record of medication including
dosage and administration;
(ii) a
current health assessment, signed by a licensed practitioner; and
(iii) level of care
assessment;
(d) signed
resident agreement and service plan; and
(e) employment file for each staff person
that includes:
(i) health history;
(ii) background clearance consent and release
form;
(iii) orientation completion;
and
(iv) in-service training
requirements.
(4) The licensee shall ensure there is a
written eligibility, admission, and discharge policy to include the following:
(a) intake process;
(b) notification of responsible
party;
(c) reasons for admission
refusal that includes a written, signed statement;
(d) resident rights notification;
and
(e) reason for discharge or
dismissal.
(5) Before a
licensee admits a resident, a written assessment shall be completed to evaluate
current health and medical history, immunizations, legal status, and social
psychological factors.
(6) The
licensee shall ensure that the director or designee develops a written resident
agreement, with the resident, the responsible party and the director or
designee, that is completed and signed by each party and include the following:
(a) rules of the program;
(b) services to be provided and cost of
service, including refund policy; and
(c) arrangements regarding absenteeism,
visits, vacations, mail, gifts, and telephone calls.
(7) The director, or designee, shall develop,
implement, and review the individual resident service plan. The licensee shall
ensure the plan:
(a) includes the
specification of daily activities and services;
(b) is developed within three working days of
admission; and
(c) is evaluated
semi-annually.
(8) The
licensee shall ensure that written incident and injury reports document the
following:
(a) resident death;
(b) injuries;
(c) elopement;
(d) fights or physical
confrontations;
(e) situations that
require the use of passive physical restraint;
(f) suspected abuse or neglect; and
(g) other situations or circumstances
affecting the health, safety, or well-being of residents while in
care.
(9) The licensee
shall ensure that the director and responsible party reviews each injury report
and ensures that each report is kept on file.
(10) The licensee shall ensure a daily
activity schedule is provided, posted, and implemented as designed.
(11) The licensee ensure residents are
provided direct supervision at all times and encouraged to participate in
activities.
(12)
(a) The licensee shall ensure a minimum of 50
square feet of indoor floor space is provided per resident designated for adult
day care during program operational hours.
(b) Hallways, office, storage, kitchens, and
bathrooms may not be included in the calculation.
(c) The licensee shall ensure indoor and
outdoor areas are maintained in a clean, secure, and safe condition.
(d) The licensee shall ensure at least one
bathroom designated for resident use is provided during business hours. For
licensees serving more than ten residents, the licensee shall ensure there are
separate male and female bathrooms designated for resident
use.
(13) The licensee
shall ensure;
(a) continual staff supervision
is provided when residents are present;
(b) a staff to resident ratio of one staff
for every eight residents is maintained; and
(c) a ratio of one staff for every six
residents is maintained when one-half or more of the residents are diagnosed by
a physician's assessment with Alzheimer's, or related
dementia.
